Delivery of patient adherence support: The role of pharmacists and doctors.
Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
Introduction: Patient non-adherence is a well-known issue that causes problems on many levels, and many interventions regarding improving adherence have been evaluated. Pharmacists and doctors are in good positions to influence and support patient adherence, which makes them suitable intervention targets. However, to date, no one has specifically reviewed interventions with a defined role of pharmacists and/or doctors. Aim: To evaluate the role of pharmacists and doctors in the delivery of patient adherence support. Materials and Methods: A systematic review was carried out. An electronic search was performed in MEDLINE, EMBASE, International Pharmaceutical Abstracts, PsycINFO and CINAHL for papers including randomised controlled trials of interventions to improve adherence, where pharmacists and/or doctors had a defined role in terms of delivery. The retrieved papers were screened to decide whether to include or exclude. The results of the included papers were then summarized, discussed and evaluated in line with the objectives. Results: A total of 103 papers met the inclusion criteria and was included in the review. Only 14 of the interventions (14%) were delivered by doctors, and the rest by different kinds of pharmacists. The overall effectiveness was very good in most studies. Sixty-eight of the 103 papers resulted in enhanced medication adherence. However, 35 interventions failed to show improvement in adherence. Conclusions: This review shows that pharmacists and doctors have a good potential to influence patients’ adherence. However, it also shows that more research is needed to get control over this growing global issue.
Place, publisher, year, edition, pages
Social and Clinical Pharmacy
IdentifiersURN: urn:nbn:se:uu:diva-216380OAI: oai:DiVA.org:uu-216380DiVA: diva2:689629
UCL School of Pharmacy
Subject / course
Master of Science Programme in Pharmacy
Franklin, Bryony Dean, Professor
Hammarlund-Udenaes, Margareta, Professor